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SCTA Conference Grant Application

SCTA Conference Grant Application

SCTA Conference Grant Application

Name(Required)

First Last

Phone(Required)

Personal cell phone

Personal Email (DO NOT USE WORK EMAIL)(Required)

Enter Email Confirm Email

Personal email only

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

CTA ID #:

(email SCTA@SacCityTA.com if you don’t know)

School Site & Grade Level or Position(Required)

How many years have you been an educator?(Required)

Which Conference Grant are you applying for?

Which Conference are you applying for?(Required)

2024 LGBTQ+ Issues Conference – Nov. 15-17, 2024 San Francisco Airport Marriott

NEW Educator Weekend North December 6-8 – Hyatt Regency SFO

Issues Conference – January 17-19 – Planet Hollywood, Las Vegas

Equity & Human Rights Conference – March 7-9 – Location TBD

Why do you want to attend a CTA Conference? How will you use what you learn to strengthen your leadership ability at your site and within SCTA?

How will you share/pass along what you learn?(Required)

Would you be willing to provide a short PD/training to SCTA members based upon what you learned at the conference?(Required)

Yes

No

Agreement to write testimonial/summary:(Required)

Yes

No

I agree if selected, after the conference to submit a short testimonial/summary within two weeks after the conference which may be used for SCTA publications, including but not limited to: The SCTA News Messenger, website, Social Media.

Have you ever attended a CTA conference?(Required)

Yes

No

If so, please list the 5 most recent conferences: include the name of conference, approximate date and location.

Name of conference – Date – location

Have you ever received a conference grant, sponsorship or funding to attend the conference?(Required)

Yes

No

If yes to the above, list any conference grants you have recived here:

Submission of expenses for reimbursement: I agree to submit an expense summary report with copies of original receipts to SCTA for reimbursement within two weeks of attending the conference.(Required)

Yes

No

College Credit/Professional Growth Hours:(Required)

Yes

No

I understand that I may be eligible to receive college credit for attending CTA conferences or Professional Growth hours and that it is my responsibility to apply for the units through CTA at: www.cta.org/conferences/24-25university-credit

Photo Release(Required)

Yes

No

I agree to provide a photo and allow any photo(s) of me taken at the event to be posted in SCTA publications and socials such as, but not limited to the SCTA News Messenger and SCTA Facebook page.

Photo(Required)

Max. file size: 15 MB.

Please upload a photo of yourself, (.png or .jpg preferred)

I understand that submission of this application does not guarantee receipt of a grant and that my application will be reviewed by the the committee.(Required)

Yes

No

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